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Pt had a nonproductive cough for 2 days...

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pt bitten by snake (figured it was a water snake) no signs of envenomation. Bite is quite small at sole of feet. He was wearing flip flops. 24 hours observed. This is the snake pt brought with him

received fax from remote nurse lead clinic, 62 year old male of Indian origin, central chest pain for 1-2 hours, nil associated symptoms, hx of HTN and dyslipidemia, no known hx of IHD, no previous ECGs for comparison.

Skin failure in a 89+ year old in #hospice care. On alternating pressure .+ low airloss surface. Goal of care: comfort. She had 5 pressure injuries at once. Image 1 is initial coccyx wound, image 2 is after 1 month of debridement and daily silver alginate packing. Image 3 is initial hip #wound, image 4 is after sharp debridement limited by tenacious eschar and client discomfort. Hospice did 2 dressing changes weekly, family the other five (daughter is an RN.) Died ~ 2 months later. One sign of imminent death was dusky shade of previously bright red granulation tissue on coccyx wound.

Update to split incision. Wound vac applied this afternoon, hoping this works. If the wound vac does not work the surgeon is wanting to go in and remove any infected tissue.

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A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?